45D1032407 CLIA NUMBER - ALBERTSONS PHARMACY #0135

Laboratory Demographics

  • CLIA Code: 45D1032407
  • Facility Name: ALBERTSONS PHARMACY #0135
  • Facility Address: 4415 WEST 7TH STREET
    TEXARKANA, TX
    ZIP 75501
  • Facility Phone: 903 831-5882
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIANN SPIER
  • NPI Number: 1871530204
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1032407
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #0135
Street 4415 WEST 7TH STREET
City TEXARKANA
State TX
ZIP 75501
Phone 903 831-5882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Pharmacy
Lab Director JULIANN SPIER

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This page was last updated on: 9/29/2025